Neurologic screening Check Off

Question 1

Age Relevant history for Neurologic exam

Answer 1

Headaches

Dizziness

Numbness

Loss of function

Question 2

Risk Factors for Neurologic Exams

Answer 2

Stroke

Trauma

Question 3

Levels of Alertness

Answer 3

Eyes open

Responds spontaneously

Ability to follow commands

Question 4

Alert and Oriented X3

Answer 4

Person Place Time

Question 5

Cranial Nerve I

Answer 5

Olfactory (Nare patency/aromatic detection/symmetry of smell)

Question 6

Cranial Nerve II

Answer 6

Optic (Visual Acuity: Snellen, Rosenbaum)

Question 7

Cranial Nerve III, IV, and VI

Answer 7

Oculomotor, Trochlear, and Abducens (PERRLA and EOM)

Question 8

PERRLA

Answer 8

Pupples Equal Round Reactive to Light and Accommodation

Question 9

EOM

Answer 9

ExtraOcular Movement

Question 10

Cranial Nerve V

Answer 10

Trigeminal (Palpate TMJ, Light touch sensation with cotton wisp-forehead, cheeks, and chin)

Question 11

Cranial Nerve VII

Answer 11

Facial (Facial symmetry and expression (Smile, Froun, eyes tightly closed, lift eyebrows, show teeth, puff cheeks))

Question 12

Cranial Nerve VIII

Answer 12

Acoustic (Vestibulocochlear: Whisper test)

Question 13

Cranial Nerve IX and X

Answer 13

Glossopharyngeal and Vagus (Yawn (Note uvula midline) Gag reflex, and voice)

Question 14

Cranial Nerve XI

Answer 14

Spinal Accessory: Sternomastoid and trapezius equal strength (shoulder against resistance)

Question 15

Cranial Nerve XII

Answer 15

Hypoglossal (Tongue inspection, Midline Protrusion, “Light, Tight, Dynamite” clear)

Question 16

Motor Function: Gate

Answer 16

Smooth, Rythmic, effortless)

Question 17

Motor Function: Balance

Answer 17

Well coordinated

Question 18

Motor Function: Posture

Answer 18

Erect

Question 19

Romberg Test

Answer 19

Standing, feet together, arms in, eyes closed, 20 seconds (maintain safety of PT at all times)

Question 20

Motor Function: Upper extremity

Answer 20

Hand Grasp (equal and bilateral)

Question 21

Motor Function: Lower extremity

Answer 21

Foot Resistance (Strength equal and bilateral)

Question 22

Coordination: Rapid Alternating actions

Answer 22

Hands on knees, touch finger to testers finger then nose,

Question 23

Coordination: Actions

Answer 23

Flex knees, arms out, squat down, stand back up

Question 24

Sensory Function: Pain

Answer 24

Distal to proximal sharp vs dull

Question 25

Sensory Function: Vibration

Answer 25

Tuning fork on thumb or big toe “Tell me what you feel and when it stops”

Question 26

Deep Tendon Reflexes: Biceps

Answer 26

Rate 0-4 bicep contracts forearm flexes

Question 27

Deep Tendon Reflexes: Triceps

Answer 27

Rate 0-4 extension of the forearm

Question 28

Deep Tendon Reflexes: Brachioradialis

Answer 28

Rate 0-4 supination or the wrist

Question 29

Deep Tendon Reflexes: Quadriceps/Patellar

Answer 29

Rate 0-4 Quadraceps contracts knee extends

Question 30

Deep Tendon Reflexes: Achilles

Answer 30

Rate 0-4 ankle flexes

Question 31

Deep Tendon Reflexes: Plantar

Answer 31

Stroke lateral side of sole from heal to toes: Normal plantar flexion of toes abnormal dorsiflexion of big toe and fanning or does (Babinski Sign)